| NPI | 1053044131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 39300) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-06-02 |